A nurse is preparing to administer gentamicin to a child who weighs 44 lb. The provider prescribes 6 mg/kg/day IV to be administered in three equal doses. Available is gentamicin 40 mg/mL. How many mL should the nurse administer with each dose?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A rationale:

Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.

Choice B rationale:

A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice C rationale:

A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice D rationale:

Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.

Choice A rationale:

Wheezing can be a sign of an allergic reaction to amoxicillin. It indicates that there may be constriction or inflammation in the airways, which can occur in an allergic reaction.

Choice B rationale:

Bradycardia, or a slower than normal heart rate, isn’t typically associated with an allergic reaction to amoxicillin.

Choice C rationale:

Polyuria, or excessive urination, isn’t typically a sign of an allergic reaction to amoxicillin.

Choice D rationale:

Bruising isn’t typically associated with an allergic reaction to amoxicillin. It could be related to other conditions or medications.